Experiences of digital communication with automated patient interviews and asynchronous chat in Swedish primary care: a qualitative study

Objectives To explore staff experiences of working with a digital communication platform implemented throughout several primary healthcare centres in Sweden.Design A descriptive qualitative approach using focus group interviews. Qualitative content analysis was used to code, categorise and thematise...

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Main Authors: Artin Entezarjou, Patrik Midlöv, Beata Borgström Bolmsjö, Susanna Calling, Veronica Milos Nymberg
Format: Article
Language:English
Published: BMJ Publishing Group 2020-07-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/10/7/e036585.full
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author Artin Entezarjou
Patrik Midlöv
Beata Borgström Bolmsjö
Susanna Calling
Veronica Milos Nymberg
author_facet Artin Entezarjou
Patrik Midlöv
Beata Borgström Bolmsjö
Susanna Calling
Veronica Milos Nymberg
author_sort Artin Entezarjou
collection DOAJ
description Objectives To explore staff experiences of working with a digital communication platform implemented throughout several primary healthcare centres in Sweden.Design A descriptive qualitative approach using focus group interviews. Qualitative content analysis was used to code, categorise and thematise data.Setting Primary healthcare centres across Sweden, in both rural and urban settings.Participants A total of three mixed focus groups, comprising 19 general practitioners and nurses with experience using a specific digital communication platform.Results Five categories emerged: ‘Fears and Benefits of Digital Communication’, ‘Altered Practice Workflow’, ‘Accepting the Digital Society’, ‘Safe and Secure for Patients’ and ‘Doesn't Suit Everyone and Everything’. These were abstracted into two comprehensive themes: ‘Adjusting to a novel medium of communication’ and ‘Digitally filtered primary care’, describing how staff experienced integrating the software as a useful tool for certain clinical contexts while managing the communication challenges associated with written communication.Conclusions Family medicine staff were ambivalent concerning the use of digital communication but, after a period of adjustment, it was seen as a useful communication tool especially when combined with continuity of care. Staff acknowledged limitations regarding use by inappropriate patient populations, information overload and misinterpretation of text by both staff and patients.
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spelling doaj-art-4348b8b718ef4bfb9c82a4e921a3c0502024-12-04T18:40:08ZengBMJ Publishing GroupBMJ Open2044-60552020-07-0110710.1136/bmjopen-2019-036585Experiences of digital communication with automated patient interviews and asynchronous chat in Swedish primary care: a qualitative studyArtin Entezarjou0Patrik Midlöv1Beata Borgström Bolmsjö2Susanna Calling3Veronica Milos Nymberg4Department of Clinical Sciences Malmö, Lund University, Lund, SwedenCenter for Primary Health Care Research, Department of Clinical Sciences, Lund University, Malmö, SwedenDepartment of Clinical Sciences Malmö, Lund University, Lund, SwedenDepartment of Clinical Sciences Malmö, Lund University, Lund, Sweden2 Center for Primary Health Care Research, Department of Clinical Sciences, Malmo, Lund University, Malmö, SwedenObjectives To explore staff experiences of working with a digital communication platform implemented throughout several primary healthcare centres in Sweden.Design A descriptive qualitative approach using focus group interviews. Qualitative content analysis was used to code, categorise and thematise data.Setting Primary healthcare centres across Sweden, in both rural and urban settings.Participants A total of three mixed focus groups, comprising 19 general practitioners and nurses with experience using a specific digital communication platform.Results Five categories emerged: ‘Fears and Benefits of Digital Communication’, ‘Altered Practice Workflow’, ‘Accepting the Digital Society’, ‘Safe and Secure for Patients’ and ‘Doesn't Suit Everyone and Everything’. These were abstracted into two comprehensive themes: ‘Adjusting to a novel medium of communication’ and ‘Digitally filtered primary care’, describing how staff experienced integrating the software as a useful tool for certain clinical contexts while managing the communication challenges associated with written communication.Conclusions Family medicine staff were ambivalent concerning the use of digital communication but, after a period of adjustment, it was seen as a useful communication tool especially when combined with continuity of care. Staff acknowledged limitations regarding use by inappropriate patient populations, information overload and misinterpretation of text by both staff and patients.https://bmjopen.bmj.com/content/10/7/e036585.full
spellingShingle Artin Entezarjou
Patrik Midlöv
Beata Borgström Bolmsjö
Susanna Calling
Veronica Milos Nymberg
Experiences of digital communication with automated patient interviews and asynchronous chat in Swedish primary care: a qualitative study
BMJ Open
title Experiences of digital communication with automated patient interviews and asynchronous chat in Swedish primary care: a qualitative study
title_full Experiences of digital communication with automated patient interviews and asynchronous chat in Swedish primary care: a qualitative study
title_fullStr Experiences of digital communication with automated patient interviews and asynchronous chat in Swedish primary care: a qualitative study
title_full_unstemmed Experiences of digital communication with automated patient interviews and asynchronous chat in Swedish primary care: a qualitative study
title_short Experiences of digital communication with automated patient interviews and asynchronous chat in Swedish primary care: a qualitative study
title_sort experiences of digital communication with automated patient interviews and asynchronous chat in swedish primary care a qualitative study
url https://bmjopen.bmj.com/content/10/7/e036585.full
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